IT

We are frequently asked by clients and others in the industry about the number of diagnosis codes allowed on the electronic format as well as the paper forms when billing for services. This is especially true in risk adjustment where all current diagnoses are collected for financial forecasting purposes. Some try to use claim editing to capture these but ultimately a medical record review by an experience risk adjustment coding…

October was cybersecurity awareness month. While increased focus has been on this topic, many organizations are still left exposed and at serious risk. HIPAA laws do not apply overseas, thus there are zero protections for covered entities who choose to offshore services. It’s somewhat baffling that we can be concerned with the high cost of delivering healthcare, yet cannot allow a global marketplace for medications (one of the highest expenses),…